Individual
CONSTANCE ROSE KRUPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-3000
Mailing address
6456 W 65TH ST, CHICAGO, IL 60638-5102
(773) 554-6094
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/23/2023
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